Individual
AMANDA JOY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LAT,ATC
Contact information
Practice address
1036 MEDARY AVE, BROOKINGS, SD 57007-0001
(605) 688-4121
Mailing address
1730 CHRISTINE AVE APT 26, BROOKINGS, SD 57006-4313
(484) 896-8608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0779
SD
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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